You are on page 1of 3

FORM VII

(See Rule 143,147 and 148)


Application for a grant/amendment/renewal/transfer of a license to transport petroleum Class/A/B/
in bulk on land by mechanically propelled vehicles.
Document listed below must be submitted with this application.
PART-A
To be filled and signed by the applicant
1. Applicant’s Name and full posted address:
M/S RAM MOHAN ENTERPRISES
C/O G VENKATA RAM MOHAN BABU
D NO 60-2934 JANATHA COLONY ,
MALKAPURAM GAJUWAKA,
VISHAKAPATNAM ANDHRA PRADESH-530026
.
2. Particular of the vehicle in which petroleum is proposed to be transported
Make and Model: EICHER PRO 6042 BSIV
Chassis Number: MC2BESRC0KF062333
Engine Number: VEDX5*341976*B1*P
Registered Number: AP39 TG5688
ULW and RLW: 12270Kgs, 42000Kgs
Date which the vehicle is registered : 16/12/2019
Name and full postal address of the registered owner : AS ABOVE
Number of compartment and certified capacity in kiloliters of each Compartment
Compartment 1 2 3 4 5 6 7 Total Capacity in Kiloliters

Capacity in
Kiloliters 7 7 7 7 6 34Kl (7+7+7+7+6=34kl)

Class or Classes of Petroleum proposed to be transported


in the vehicle described above (A&B)
Number and date of approval of the design drawing of the vehicle by the Chief Controller

A/P/HQ/TLF/TN/35(P535169)DT:27/01/2023DrawingNo:P535169/58(FC/TL/5/34KL/107).
3. Does the tank vehicle described above fully, conform to the requirement laid down
in third Schedule to the Petroleum Rules 2002 and the design drawing approved by the
Chief Controller. YES
4. Full Postal Address of the Please where the vehicle will be normally stationed.
AS ABOVE P.T.O.
:2:
I/We declare that the particulars given above have been checked up by me and are correct .I/We
undertake of transport petroleum by the vehicle particulars of which are given above in accordance with
the provisions of the petroleum Act, 1934 and the rules framed there under and any other law of rules
for the time being in force .I/We understand that any contravention of the said Act and the Rules framed
there under is punishable for the first offence with simple imprisonment which may extend to one month
or with fine which may extend to one thousand rupees or with both and for every subsequent offence
with simple imprisonment which may extend to there months or with fine which may to five thousand
rupees or with both

Date: Signature of the Applicant


Place:

Part-B
To be filled in duly signed by the Recognized Engineer
I certify that the vehicle, the particular of which are given in part A of this form has been examined
and tested by me and found to be fully conforming to the particulars shown in approved drawing
No.A/P/HQ/TLF/TN/35(P535169)DT:27/01/2023DrawingNo:P535169/58(FC/TL/5/34KL/10
7)Complying with the requirement laid in the Third Schedule to the petroleum Rules 2002

Date:
Tank Sl.No. P535169/58/2023/33 27/02/2023

To:
THE DY CHIEF CONTROLLER OF EXPLOSIVES,
DNO. 7-20-13, KIRLAMPUDI LAYOUT,
VISAKHAPATNAM,
VISAKHAPATNAM, AP-530017.

Dear Sir,
This is to certify that the tank having water capacity 34000 liters bearing
Serial No.P535169/58/2023/33 and mounted on vehicle Registration No. AP39 TG5688, EICHER
PRO 6042 BSIV belonging to M/S RAM MOHAN ENTERPRISES, ChassisNo:
MC2BESRC0KF062333, EngineNo: VEDX5*341976*B1*P has been fabricated modified by us As per
design drawing approved by the Chief Controller of Explosives vide is Letter No:
A/P/HQ/TLF/TN/35(P535169) Dt: 27/01/2023, Drg.No: P535169/58(FC/TL/5/34KL/107) and same
fully conforms in all respects to the requirements laid down in the Third Schedule of the Petroleum
Rules 2002.
The above tank lorry has been fitted with the following approved type of safety fittings
manufactured by the manufacture whose name is mentioned against each fitting.
South India Distributors
Sl.N Name of the Fittings Qty SL .No. of the Fittings INVO.No.
o 1133/22-23 Dt:01/02/2023
01. Pressure Cum Vacuum Valve 5No A-33007,A-33008,A-33009,A-33010,A-33011
02. Fusible Plug For Emergency Vent 5No A-33424,A-33425,A-33426,A-33427,A-33428
03. Fusible Link 5No A-33209,A-33210,A-33211,A-33212,A-33213
04. Emergency Shut off Valve 5No A-33749,A-33750,A-33751,A-33752,A-33753

Competent Engineer Thanking you Yours faithfully


Signature
JVS BODY WORKS
The CCE’s Approval Number A/P/HQ/TLF/TN/35(P535169)
Dt: 27/01/2023 (Drg.No.P535169/58(FC/TL/5/34KL/107)

You might also like